Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,210.50 / $1,210.50 / $1,513.13	Facility		$1,210.50	$1,210.50	$1,513.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $90.10 / $111.52	Professional		$89.21	$90.10	$111.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $89.57 / $145.22	Facility		$53.00	$89.57	$145.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $1,288.20	Professional		$53.00	$53.00	$1,288.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $115.45 / $407.03	Facility		$63.60	$115.45	$407.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $115.45 / $407.03	Professional		$63.60	$115.45	$407.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $58.30	Professional		$53.00	$53.00	$58.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00